Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Canon Medical Group Inc

Organization Nephrology Physician · NPI 1023097631

Canon Medical Group Inc is a Nephrology Physician in Beverly Hills, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

414 N Camden Dr Ste 775
Beverly Hills, CA 90210-4532
Phone: (310) 274-7300
Fax: (310) 274-7301
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence W7122 (CA)

Record details

NPI number1023097631
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bernard Salick — Physician · (310) 274-3400
NPI enumeratedJanuary 11, 2006
Last updated in NPPESDecember 17, 2015
Mailing address9777 Wilshire Blvd, Ste 512, Beverly Hills, CA 90212-1905

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